Nail damage in psoriasis is called psoriatic onychodystrophy. This disease is a pathology of a non-infectious nature, and most often indicates the imminent development of a general lesion of the human skin. Consider what causes psoriasis of the nails, and how to treat it.

Doctors refer to the disease as an autoimmune disease, which consists in the rapid synthesis and division of skin cells. In case of illness, this process exceeds the rate of normal cell growth by tens of times. As a result, nails with psoriasis can change color, structure, are characterized by thickening and delamination. In most cases, an ailment on the nails indicates the imminent appearance of psoriatic rashes throughout the body. However, often psoriasis on the nails remains an independent disease.

Why does this pathology occur?

The causes of the development of the disease on the nails, as well as the factors that cause rashes on the body, are still not fully understood. Scientists suggest that the main cause of the disease is a malfunction of the immune system, as well as violations of the normal metabolic processes of the body. Rapid cell division causes some kind of immune response, protective bodies, such as leukocytes and erythrocytes, are deployed near the lesions, which leads to the process of inflammation of certain areas.

Proponents of another theory argue that psoriasis is inherited. In a third of patients, one of the family members suffered from pathology. Scientists believe that humans have genes that disrupt normal cell division.

The disease can appear at any age, regardless of place of residence and gender. Next, consider some of the provoking factors of the disease:

  • cool and dry climate. Such weather conditions can serve as a kind of sense to the occurrence of psoriasis;
  • stress due to injuries, frequent unrest and mental stress;
  • complications of viral and bacterial infections. Often psoriasis becomes the result of untreated diseases;
  • mechanical and chemical damage to the skin;
  • taking certain medications;
  • decreased immunity due to malnutrition;
  • bad habits;
  • nail psoriasis can develop due to overwork.

Symptoms of psoriasis on the nails - photo

The disease can develop both on the legs and on the hands. The main symptoms of the disease are as follows:

  1. Tubules, dents and the appearance of grooves on the nails.
  2. Nail psoriasis is accompanied by a darkening of the plate, a change in color. It can be grayish, whitish, yellow.
  3. Inflammation of the periungual skin and cuticle. Psoriatic patches may appear on the skin.
  4. Stratification and detachment of the nail. The appearance of deep grooves under it.
  5. Strong feeling of itching, peeling of the skin, delamination of the nail.

Psoriasis of fingernails is a particularly unpleasant phenomenon. Hands are always in sight, and whiteness spoils them appearance, forcing the patient to eschew handshakes and close communication. This often causes a lot of mental abnormalities, such as isolation, irritability and nervousness.

Types and stages of development of nail psoriasis

Nail psoriasis has several types. These include:

  1. Thimble type. It is expressed by minor lesions of the nails in the form of small depressions and grooves. It is considered one of the most common forms of the disease.
  2. Onycholysis. This species is characterized by detachment of the nail from the body of the finger. Moreover, the patient does not experience severe discomfort and pain. In this case, a border is formed around the affected nail, which has a pinkish or yellow tint.
  3. Onychomadesis. A rather severe form, similar to onycholysis, however, the detachment of the plate here occurs faster, and the formation of a border is not observed.

Also, in pathology, such a form as hemorrhages under the nail plate is characteristic. It is divided into the following types:

  • the appearance under the plate of spots and veins that have a pink or red color and a variety of shapes;
  • the acquisition of veins of a darker shade, as a result of rupture of large capillaries.

The next type of pathology is trachyonychia. These are changes in the surface of the nail, its coarsening and layering. At a later stage, the plate peels off, its edges bend outward.

Each of the species can develop as an independent disease or replace each other.

Also, psoriasis can be divided into several stages. In medical practice, it is customary to distinguish the following stages of the course of the disease:

  1. First stage. It is characterized by darkening of the nail. Furrows and channels of a minor nature may also appear.
  2. Second stage. There is a roughening and layering of the plate. The nail changes color and structure.
  3. Third stage. The most severe change in the nails in psoriasis occurs at the last stage. The nail plate bends and peels off from the body of the finger. There are spots and plaques characteristic of the disease.

Why is it important to treat nail psoriasis?

A disease such as psoriasis under the nails is considered an incurable disease. Treatment is always aimed at alleviating the patient's condition, reducing the manifestations of the disease and achieving stable remission. However, despite the fact that it will not be possible to completely get rid of the disease, it is still necessary to conduct drug therapy and other types of treatment. Often, this pathology causes heart disease, and is also an aggravating factor in atherosclerosis and many inflammatory diseases. In patients with this disease, the risk of heart attack and other complications is significantly increased.

Disorders of the psycho-emotional sphere of a person deserve special attention. Patients may develop complications in the form of neurosis, depression, and unsociableness. Almost all patients are accompanied by irritability and poor sleep.

With the manifestations of psoriasis on the nails, the appearance suffers, the person does not want to appear in public, avoids communication with relatives and friends. In addition, severe forms of the disease can lead to high temperature body, general weakness and malaise.

Nail psoriasis in children also requires proper treatment, since the consequences of the disease can be irreversible deformities of the nails and hands for life. The complexity of therapy in children is the impossibility of using most drugs, since their effect on the child's body often causes a mass side effects.

Treatment Methods

In most cases, the treatment of the disease requires a rather long time and the use of an integrated approach. Based on the obtained laboratory tests and examination of the patient, the doctor selects the optimal treatment regimen using medications, physiotherapy procedures, and prescriptions are also often used. traditional medicine. Next, we will consider effective drugs in more detail.

Means for topical application

The following medicines are used here:

  1. Medications based on corticosteroids. These are strong drugs that are used both for nail psoriasis and for other forms of pathology. Corticosteroids have many side effects, so they should only be selected by a specialist. This group includes - triacort, prednisolone ointment.
  2. Products containing vitamin D3. Such drugs prevent pathologically rapid cell division. These are maxacalcinol, daivonex and others.
  3. Preparations based on tar. To get rid of the manifestations of the disease, pine, birch and juniper tar are used.
  4. The use of salicylic acid. This substance fights well with manifestations such as itching, burning, peeling and skin irritability. Often used in conjunction with corticosteroid drugs.

In cases where local treatment is ineffective, doctors resort to the following treatment regimen:

  1. The use of cyclosporine. It has an excellent result in nail psoriasis of any type and complexity.
  2. Methotrexate. Relate to antimetabolites. It is prescribed under the strict supervision of a doctor, as it causes a lot of side effects.
  3. The use of retinoids. Prescribed for severe forms of the disease. This includes the use of acitrenin, isotretinoin and other agents.
  4. Vitamin complexes are components of zinc, selenium, calcium and other useful elements.

Physiotherapy treatment

In combination with drug treatment, physiotherapy methods are also used. These include:

  • use of light therapy;
  • the use of plasmaphoresis;
  • treatment by hemosorption;

The use of alternative treatment

To alleviate the patient's condition with psoriasis of the nails, often use remedies based on herbs and other natural products. So, to combat psoriasis, you can use the following drugs:

  1. Laurel decoction. Used for baths. To prepare the product, you need to take 15-20 leaves per 1 liter of water and boil the broth over low heat for 15-20 minutes. After lowering into the fingers and toes in a warm solution for 10-15 minutes.
  2. Lotions using starch help well. To reduce inflammation and itching, you need to treat the lesions with ordinary corn starch.
  3. Collection of herbs, which includes sage, St. John's wort, chamomile, calamus, yarrow and string. A decoction is prepared from plants, which can be used for lotions and baths.
  4. Application sea ​​buckthorn oil. The affected areas need to be lubricated with oil 5-6 times a day, after cleaning it from dirt.

Measures to prevent recurrence of the disease

Treatment in sanatoriums is very effective. The use of therapeutic mud mineral water and vitamin complexes give excellent results. Also, to exclude the recurrence of the disease, one should refuse to eat fatty, spicy, smoked foods, as well as dishes high in carbohydrates.

It is very important to give up bad habits and drug use. To get rid of the disease and avoid its recurrence, you should not self-medicate. Only the help of an experienced specialist and a responsible attitude to your health will help you achieve the desired results.

Then with a probability of 80%, your nails are also damaged. I'm right? We will not now find out the causes of the disease, its symptoms, but we will immediately talk about how to treat nail psoriasis. It will be long and complex, but it is in your own interest to do everything, strictly following the recommendations, in order to bring the disease into remission as soon as possible.

It is prescribed depending on the severity of the course of the disease, the clinical picture, the individual characteristics of the patient's body, his tendency to recurrence of psoriasis, taking into account intolerance to certain drugs.

With mild and medium degree severity, local remedies are prescribed:

  • Corticosteroid ointments/creams such as Prednisolone ointment, Triacort , Triamcinolone .
  • Dermatotropic agents that can slow down the formation and division of skin cells, which is the primary cause of psoriasis. These are Dithranol, Antralin, Mikanol.
  • Medicines with vitamin D3, Calcitrien, Tacalcinone and others. Thanks to them, it is possible to slow down the division of cells that are affected by the disease. Ideally, if you combine such drugs with Taklonex ointment containing betamethasone.
  • Retinoids for external use - Tazorak, Tazarotene.
  • 5-fluorouracil (solution). A bandage soaked in the solution is placed under a bandage that is tied around the nail. Treatment will last up to six months.
  • To enhance the effect of all of the above medicines, you can lubricate the affected nails with salicylic acid. It will remove plaque, itching, exfoliate dead cells.

It also happens that drug treatment is not very effective, especially in the advanced stage of the disease. In this case, the patient is selected systemic therapy:

  1. - a very strong medicine that is prescribed only for a generalized form of the disease. I note that the drug contains a huge number of contraindications and side effects, so be sure to read the instructions before use.
  2. Cyclosporine is a drug that has proven itself in the treatment of psoriasis at any stage. Take the medicine according to the prescribed course, and then switch to Neoral. It contains the same active substance, as Ciclosporin, but in smaller quantities, therefore well suited as maintenance therapy.
  3. In case of a severe course of the disease, Isotretinoin and Neotigazon are prescribed.
  4. To reduce stress, as well as reduce itching, you need to take antidepressants.
  5. To increase immunity, drink a complex of minerals and vitamins, which must include selenium, zinc, calcium.

Modern methods of treatment of nail psoriasis

  • Multi-channel antibodies such as ustekinumab (Stelara) and Rituximab are taken to destroy immature cells that eliminate the manifestations of the disease.
  • To cure the advanced stage of the disease, etanercept and Adalimumab necrosis blockers are used.
  • It is also possible to prescribe biological response modifiers, for example Alefacept (Ameviv). The substances of this drug affect only those immune cells whose functions have been impaired.

Home treatment rules

  1. So that your fingernail or toenail is not completely affected, you need to make therapeutic baths with the addition of herbs: sage, sod, string, calendula, chamomile;
  2. To reduce itching, you need to take antihistamines;
  3. Together with the main therapy, you should drink vitamins with a high content of calcium. So you can quickly deal with the problem and strengthen the affected nails. You also need vitamins of groups B, C, P, E;
  4. You can strengthen your nails with daily application of vegetable oil (olive, sunflower, corn);
  5. It is very important to comply correct mode nutrition. About the diet for psoriasis is described in detail in the article.

Physiotherapy


As a complex therapy, the patient is prescribed physiotherapy procedures:

  • diathermy;
  • photochemo / photo therapy with the help;
  • excimer laser treatment;
  • hemosorption;
  • plasmapheresis.

Folk remedies for psoriasis

You need to collect (or buy at a pharmacy) herbs and mix them in the following proportions: wheatgrass root (2 parts), dandelion root (4 parts), cyanosis root (2 parts), leaves walnut(4 parts), rose hips (4 parts), purslane grass (1 part).

Then take 2 tablespoons of this mixture, boil in a water bath (200 ml of water) for 5 minutes, then leave for 30 minutes. Take the infusion inside three times a day, 2 tablespoons. You can also make baths and compresses for nails from this composition.

Here are a few more for you effective recipes against disease:

  • Prepare the egg butter: boil 5 hard-boiled eggs, then take out the yolks, finely chop them, fry them in a pan without oil for about 40 minutes. Then squeeze out the oil from this composition (it is better to take gauze). This oil should be treated every day with affected nails.
  • Lavrushka decoction can help you. Take 20 bay leaves, boil in a saucepan for 15 minutes. Take this decoction three times a day for 3 large spoons for no more than a week. Next, take a break for 3 days and then also continue to drink the decoction for a week.
  • Try also lotions from the following mixture: 2 tbsp. l. oatmeal, corn starch, 500 ml of water. All this is mixed and applied to the sore nail.
  • Excellent in the treatment of psoriasis showed itself. Take technical grease, the most common baby cream, melted interior fat. Strictly observe the ratio of 10:1:10 and apply this mixture for a month before going to bed.
  • There is another rather aggressive remedy: 100 g of copper sulfate, 1 liter of water and 3 g of potassium permanganate. Treat your nails every day for 7 days. Then take a break of 5 days and repeat the procedure again. Remember, this method can cause pain, but, according to patients, the nails are cleared of the disease very quickly.

Mandatory Diet


It is impossible to get rid of nail psoriasis without compliance. The most important thing is to give up alcoholic beverages and smoking, smoked, fried, salty, fatty, sweet, flour, citrus fruits.

Also, you can not eat nightshade vegetables - sweet peppers, tomatoes, potatoes, eggplants; Eliminate strong tea, coffee, soda.

The most optimal nutritional option is 70% alkaline foods and 30% acidic and mandatory drinking in the amount of 2 liters per day. Do not forget about cereals boiled in water, lean types of fish and meat, sweet fruits, eggs, vegetables, greens.

How to treat nail psoriasis in children

Most of the above remedies are contraindicated for children. All treatment should be selected only by a doctor, depending on the severity of the disease and the individual characteristics of the child. Parents must provide their child with:

  • proper diet nutrition;
  • well-established daily routine;
  • exclusion of any stressful situations.

It is also important to avoid overheating, hypothermia. And do not forget to instill in your child a love of sports.

They will help alleviate your condition and quickly get rid of the symptoms of the disease:

  • Go in for sports, strengthen immunity;
  • Try to avoid cuts, wounds, skin lesions that can lead to the activation of psoriasis;
  • Be sure to take care of your nails and skin of your hands. You can't let them dry out. To do this, use moisturizers and oils.
  • Can not use regular varnish for nails. It should only be curative;
  • Cleaning in the apartment should be done only with gloves;
  • Cut your nails short, do not let the burrs rise;
  • Do not get a manicure in unverified salons.

That's all about how to treat nail psoriasis. If the article was useful to you - share it with your friends in in social networks! Be healthy!

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Nails is a chronic pathology that affects not only the nail itself, but also the skin around it. Most often, it begins to manifest itself with dimples on the surface of the nail plate and sensations of pain and discomfort when touching the nail. After the pathology progresses into a rapidly developing inflammatory process, in which there is a hemorrhage under the plate and its slow exfoliation with a change in color.

Psoriasis is diagnosed by a dermatologist by carefully taking an anamnesis and comparing the results of blood tests and nail scrapings. After an accurate determination of the cause of the development of the pathology, the most rational treatment is prescribed.

Principles of treatment of nail psoriasis and composition of therapy

In order to successfully get rid of nail psoriasis, a dermatologist prescribes a special set of therapeutic manipulations aimed not only at completely eliminating the problem, but also at effective prevention further progress of the pathology and the development of serious complications.

Lack of rational treatment or complete disregard for the advice of a doctor leads to a serious deterioration in health, up to psoriatic and tumor diseases of various origins.

The composition of therapeutic procedures for the treatment of psoriasis necessarily includes:

Due to the complex effect of all the above methods, the acute symptoms of psoriatic disease on the nails are significantly reduced, the periods of the remission state of the pathology are increased, and the intensity of the inflammatory process is noticeably reduced.

Overview of drugs for external use

Effective treatment Nail psoriasis is not possible without the combined use of oral tablets and external exposure directly to the nail plate and the damaged skin around it. For local use, specialist doctors prescribe the following groups of drugs:

note

A high concentration of salicylic acid can injure the skin, so use such drugs carefully and locally, applying them to the affected area with a cotton swab or a special applicator.

In addition to the above medicines There are many medical and cosmetic care products that normalize the condition of the skin during the treatment of pathology. The rationality of their use and selection are discussed individually with the attending physician.

Overview of drugs for internal use

Since the cause of the development of psoriasis is very often various internal conditions, and not just the activity of pathogens on the skin and nails, drugs for oral administration from the following groups can be prescribed:

In more severe forms of the development of pathology, leading to arthritic or tumor manifestations of the disease, a specialist doctor in a hospital prescribes various non-traditional systemic drugs. Their reception is carried out strictly under the supervision of a specialist with the obligatory recording of all data on the treatment of the disease.

Kuznetsova Irina, pharmacist, medical observer

Many people know psoriasis in the form of ugly red or pink scaly spots on the body, but there is another form of it - a lesion. nail plates. In this case, the nails are distorted, change color, delaminate. This phenomenon in medical practice is called. Treatment of nail psoriasis should be comprehensive. Therapy includes the use of medications, adjuvant therapy in the form of folk treatment and a special diet.

How the disease manifests itself

Patients often confuse nail psoriasis with a pathology such as a fungus. The symptoms of these two diseases are indeed similar, but there are still some differences. The main manifestations of nail psoriasis include:

  1. The plate is covered with small depressions, outwardly strongly resembling a thimble (thimble syndrome).
  2. The plate gradually peels off and detaches from nail bed(onychomadesis).
  3. With the development of the disease, the plate becomes denser, distorted, and becomes loose (onychokeratosis).
  4. Development of bruising (onychohemorrhage).
  5. Arching of the nail (koilonychia).

In the absence of proper treatment, various complications often join, such as fungus, bacterial infection and other.

If you find yourself with such symptoms, it is important to seek qualified medical help in a timely manner.


Nail psoriasis treatment at home

How to treat psoriasis of the nails on the hands and toes? Most often, for these purposes, topical agents are used in the form. Creams and ointments penetrate well into the structure of the plate, reliably relieving a person from the symptoms of pathology. Consider a few popular medications:

  1. Daivonex is an effective non-hormonal remedy used for both skin lesions and nail psoriasis. The course of treatment with the drug is 1 - 2 weeks. During this time, the structure of the plate is restored. It is forbidden to use Daivonex together with medicines based on salicylic acid.
  2. Zinc paste is a common drug for wide use. With nail psoriasis, it has a good and fairly long-lasting effect. The advantage of the drug is its availability and low cost, while the ointment has a good effect.
  3. Losterin is a non-hormonal drug with antimicrobial, antiseptic, regenerating effects. Losterin is prescribed for all types of diseases.
  4. Salicylic ointment is an old proven remedy that has a therapeutic effect in cases of skin and nail psoriasis. The ointment is applied with a thin ball to the diseased areas, after steaming the nails in a decoction of herbs.

Treatment of psoriasis under the nails in severe cases is carried out with the help of hormonal-based agents. These include:

  1. Belosalik is a steroid agent that has a powerful effect in all types of pathology. The ointment has anti-inflammatory, antipruritic, disinfecting properties. The course of treatment with the drug lasts from 2 to 3 weeks. If necessary, treatment is extended by the attending physician.
  2. Elokom - a popular mometasone-based remedy has a pronounced anti-inflammatory, antimicrobial, exfoliating property. Numerous patient reviews testify to the good efficacy of the drug and its relative safety.

The nails of the fingers and toes have some of their own characteristics. Ointments are recommended to be used after diagnosis and with the permission of the attending physician, since many drugs, especially hormonal ones, have many side effects.


Physiotherapy

Most often, to get rid of pathology, such a method of physiotherapy as ultraviolet radiation is used. When ultraviolet radiation is combined with photosensitizer drugs, this treatment is called PUVA therapy. Another popular type of physiotherapy is selective therapy. Thanks to this type of treatment, it is possible to normalize the rate of cell mitosis, which is an important step towards recovery.

Mud therapy and staying in are very popular for nail psoriasis. Numerous positive reviews of patients about spa treatment indicate an excellent result when combined with a healthy diet, mud masks and the use of mineral water.

Treating nail psoriasis at home is often done with natural remedies. Consider some of the most popular recipes:

  1. Treatment of nail psoriasis with celandine. Celandine has proven itself both in the fight against many skin diseases and psoriasis on the nails. To restore the structure of the plates, it is recommended to use baths with a decoction of celandine.
  2. The use of copper sulfate - have proven themselves in the fight against the pathology of the bath with a solution of manganese. For this not a large number of vitriol is dissolved in warm water, arms and legs are lowered into the resulting solution for half an hour.
  3. Homemade ointment based on solid oil. To prepare the product, mix 20 gr. Medical grease with the same amount of petroleum jelly or regular baby cream. Mix the ointment thoroughly, apply to the affected areas 2-3 times during the day. The course of treatment lasts 10 - 20 days.
  4. Laurel decoction. Decoction of bay leaf is another effective medicine home cooking. To do this, 8 - 10 medium bay leaves are poured with half a liter of boiling water, simmered on a low flame for 30 - 40 minutes. After that, the decoction is used for baths and compresses on sore areas.
  5. Compresses from corn starch. A spoonful of the product is mixed with the same amount of boiled warm water and mixed thoroughly. The resulting porridge is spread on the affected areas for 15 - 20 minutes, then washed off with warm water. The procedure is repeated until the plates are completely restored.
  6. Hypericum tincture. Dry grass is carefully crushed, poured with a liter of alcohol at the rate of 5 tbsp. l. herbs per liter of liquid. The tincture is prepared in a cool room, protected from sunlight. After that, the medicine is taken at 20 gr. Three times a day.
  7. Tar soap is a reliable treatment for psoriasis. A small bar of soap should be dissolved in warm water, you can first grate it, after which the affected nails are kept in the resulting solution for 20-30 minutes.

With the help of the above recipes, it is possible to treat psoriasis of the nails on the legs and hands.

An allergic reaction can develop to any of the drugs, so therapy should be carried out at the beginning in small doses, carefully monitoring the state of one's health.


Nail care for psoriasis

Proper nail care is an important aspect of the treatment of pathology. In order to quickly cope with the disease and quickly return the nails to their former beauty, you should adhere to the following rules:

  • cut your nails regularly, being careful not to damage the skin around;
  • protect hands with rubber gloves when working with chemical materials;
  • during physical work protective gloves should also be worn;
  • for a while to refuse coloring of nails;
  • monitor the hydration of the skin and nail platinum;
  • avoid nervous strain;
  • saturate the diet with vitamins and minerals.

Another important rule getting rid of nail psoriasis is complete and, as well as giving up bad habits. During treatment, doctors recommend introducing as many vegetables, fruits, and cereals into the diet as possible. Useful foods rich in calcium, phosphorus, potassium, magnesium.


You should refuse too high-calorie, spicy, fried, smoked, salty foods. It is important to exclude allergens from the daily diet (chocolate, a large amount of citrus fruits, eggs, red berries).

Nail psoriasis is an unpleasant systemic disease that significantly reduces the patient's quality of life. A competent approach to treatment, the correct use of therapy methods will provide a lasting result and help to cope with the pathology for many years.

Despite the fact that the external manifestations of nail psoriasis (onychia) differ from the symptoms of the skin form of the disease, the general principles of its treatment remain the same and require similar sets of measures.

This is due to the fact that onychia by its nature is the same non-infectious inflammation of tissues derived from the epidermis.

Nail psoriasis: treatment

Medical science has not developed a completely reliable method of treating psoriasis on the nails, which is guaranteed to save a person from the disease. This is due to the fact that the exact causes of the disease have not yet been found, and the mechanism for the development of its symptoms has not been fully studied.

Nail psoriasis can be both an independent disease and one of the symptoms of skin or bone psoriasis.

The second case is more severe, it requires complex and potent therapy. There are two methods of treating the disease: physiotherapy and medication. They can be used as part of a single therapeutic complex, or separately.

Physiotherapy

Physiotherapy methods are well suited for treatment, this is due to two factors:

The main physiotherapeutic method used in the treatment of fingernails and toenails is ultraviolet exposure. It is carried out through the following procedures:

  • selective phototherapy. The procedure involves alternating exposure to medium-wave and long-wave B-band irradiation. It is carried out 3-5 times a week, depending on the severity of the damage to the nails.
  • PUVA therapy- This is a combination of ultraviolet effects on nails and skin using photosensitizers. The method is used in cases where nail psoriasis is one of the symptoms of more generalized forms of the disease.
  • UVB therapy 311 nm spectrum is one of the most effective procedures, but in Russia, devices for its implementation are far from being in every clinic.
  • excimer laser- Another way to treat psoriasis of the nails on the hands. It allows for extremely precise processing of the nail plates.

Important: ultraviolet therapy is not used for skin burns (including sunburn), with a clear predisposition to malignant tumors or if they have a history, as well as in the presence of atypical pigmentation.

In addition to light therapy, methods such as:

  • electrosleep. Allows you to normalize the mental state of a person and indirectly alleviate the symptoms of psoriasis, since the influence of psychosomatic factors on it is great.
  • ultrasound therapy. Reduces the severity of inflammation, reduces the chance of developing bacterial complications under the nails.

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Medicines

For the treatment of psoriasis on the nails, ointments and lotions are used, with severe lesions and with the concomitance of other forms of psoriasis (palmar-plantar form, psoriatic arthritis), immunosuppressants are used in tablets and injections.

Ointments

Ointments are divided into non-hormonal and hormonal preparations.


Tablets

Represented by immunosuppressants, among which the most popular drug is Methotrexate. These tablets are not used to treat nail psoriasis as a separate disease, but if it manifests itself as a symptom of severe forms of psoriasis, then the use of Methotrexate will be justified.

Injectables include vitamin complexes (from vitamins A, B, D and others) and monoclonal antibodies (Stelara, Ustekinumab, Remicade). The latter have a limited scope and are used only when nail psoriasis is combined with more severe forms of the disease.

Preventive and hygienic measures are also important for the treatment of the disease. Nails should be trimmed regularly to prevent them from protruding beyond the fingertips and from being damaged by hand contact with other surfaces.

Gloves should be worn before washing dishes and cleaning the apartment to avoid nail irritation from household chemicals. It will help in the treatment and diet: allergens, alcohol, too fatty foods are excluded.

We hope that this article turned out to be useful to you and now you know not only what nail psoriasis is and how to treat it, but most importantly, how to cure it at home!